ArticleJMIR public health and surveillance2023
Disease Burden and the Accumulation of Multimorbidity of Noncommunicable Diseases in a Rural Population in Henan, China: Cross-sectional Study.
Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 9 citations in OpenAlex.
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- Waist circumference shows a significant association with the risk of noncommunicable diseases: a cross-sectional study from a large community sample in Southeast China.BMC public health · 2026Article
- Effectiveness of an internet-based health examination model for focus populations in the Chinese community: a community demonstration trial.International journal for equity in health · 2026Article
- Evaluation of Capillary Blood Glucose and Chinese Diabetes Risk Score in Screening for Diabetes and Prediabetes Among Elderly Chinese Population: A Cross-Sectional Study.Clinical interventions in aging · 2026Article
- Analysis of patient activation and its influencing factors among Chinese rural older adults with chronic multimorbidity.Frontiers in public health · 2026Observational
- Bridging knowledge gaps for healthy China 2030 plan: a province-wide assessment of primary healthcare workers' competencies and training preferences in Henan, China.Frontiers in public health · 2026Article
- Latent profiles of coping modes in rural older patients with chronic co-morbidities: a multi-center study.BMC geriatrics · 2025Article
- The role of hypertension in mediating the relationship between overweight and obesity and diabetes: a longitudinal study.BMC public health · 2025Article
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- Longitudinal study on health-related quality of life and multimorbidity: from trajectories to outcomes in China.Frontiers in public health · 2025Article
- Article
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16 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity causes substantial disease and economic burdens on individuals and the health care system.
objectiveThis study aimed to explore the disease burden of multimorbidity and the potential correlations among chronic noncommunicable diseases (NCDs) in a rural population in Henan, China.
methodsA cross-sectional analysis was performed using the baseline survey of the Henan Rural Cohort Study. Multimorbidity was defined as the simultaneous occurrence of at least two NCDs in a participant. This study examined the multimorbidity pattern of 6 NCDs, including hypertension, dyslipidemia, type 2 diabetes mellitus, coronary heart disease, stroke, and hyperuricemia.
resultsFrom July 2015 to September 2017, a total of 38,807 participants (aged 18-79 years; 15,354 men and 23,453 women) were included in this study. The overall population prevalence of multimorbidity was 28.1% (10,899/38,807), and the multimorbidity of hypertension and dyslipidemia was the most common (8.1%, 3153/38,807). Aging, higher BMI, and unfavorable lifestyles were significantly associated with a higher risk of multimorbidity (multinomial logistic regression, all P<.05). The analysis of the mean age at diagnosis suggested a cascade of interrelated NCDs and their accumulation over time. Compared with participants without 2 conditional NCDs, participants with 1 conditional NCD would have higher odds of another NCD (1.2-2.5; all P<.05), and those with 2 conditional NCDs would elevate the odds of the third NCD to 1.4-3.5 (binary logistic regression, all P<.05).
conclusionsOur findings indicate a plausible tendency for the coexistence and accumulation of NCDs in a rural population in Henan, China. Early prevention of multimorbidity is essential to reduce the NCD burden in the rural population.
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